Radiation dose to patients and clinicians during fluoroscopically-guided biopsy of peripheral pulmonary lesions

Respiratory Care

Volumn 55, Issue 11, 2010, Pages 1469-1474

  Steinfort, Daniel P ^a,b   Einsiedel, Paul ^a   Irving, Louis B ^a  

^a ROYAL MELBOURNE HOSPITAL   (Australia)

^b UNIVERSITY OF MELBOURNE   (Australia)

Author keywords

Bronchoscopy; Fluoroscopy; Lung cancer; Radiology toxicity; Transbronchial lung biopsy; Ultrasound

Indexed keywords

ARTICLE; BRONCHOSCOPY; CLINICAL ARTICLE; COMPUTER SIMULATION; DOSIMETRY; FILM DOSIMETER; FLUOROSCOPY; HUMAN; LUNG BIOPSY; LUNG LESION; MONTE CARLO METHOD; NURSING ASSISTANT; RADIATION DOSE; RADIATION ENERGY; RADIATION EXPOSURE; RADIATION HAZARD; RADIATION SAFETY; SCREENING TEST; HEALTH CARE PERSONNEL; INTERVENTIONAL RADIOLOGY; LUNG TUMOR; METHODOLOGY; NEEDLE BIOPSY; OCCUPATIONAL EXPOSURE; PATIENT; PROTECTIVE CLOTHING; RADIATION PROTECTION; RADIOGRAPHY;

BIOPSY, FINE-NEEDLE; BRONCHOSCOPY; FILM DOSIMETRY; FLUOROSCOPY; HEALTH PERSONNEL; HUMANS; LUNG NEOPLASMS; OCCUPATIONAL EXPOSURE; PATIENTS; PROTECTIVE CLOTHING; RADIATION DOSAGE; RADIATION PROTECTION; RADIOGRAPHY, INTERVENTIONAL;

EID: 79952112121     PISSN: 00201324     EISSN: 19433654     Source Type: Journal    
DOI: None     Document Type: Article

References (51)

1. Wingo PA, Ries LA, Giovino GA, Miller DS, Rosenberg HM, Shopland DR, et al. Annual report to the nation on the status of cancer, 1973-1996, with a special section on lung cancer and tobacco smoking. J Natl Cancer Inst 1999;91(8):675-690.
2. Brooks DR, Austin JH, Heelan RT, Ginsberg MS, Shin V, Olson SH, et al. Influence of type of cigarette on peripheral versus central lung cancer. Cancer Epidemiol Biomarkers Prev 2005;14(3):576-581.
3. Roth K, Hardie JA, Andreassen AH, Leh F, Eagan TM. Predictors of diagnostic yield in bronchoscopy: a retrospective cohort study comparing different combinations of sampling techniques. BMC Pulm Med 2008;8:2.
4. Wallace JM, Deutsch AL. Flexible fiberoptic bronchoscopy and percutaneous needle lung aspiration for evaluating the solitary pulmonary nodule. Chest 1982;81(6):665-671.
5. Milman N, Faurschou P, Munch EP, Grode G. Transbronchial lung biopsy through the fibre optic bronchoscope. Results and complications in 452 examinations. Respir Med 1994;88(10):749-753.
6. Rivera MP, Detterbeck F, Mehta AC. Diagnosis of lung cancer: the guidelines. Chest 2003;123(1 Suppl):129S-136S.
7. Paone G, Nicastri E, Lucantoni G, Dello Iacono R, Battistoni P, D'Angeli AL, Galluccio G. Endobronchial ultrasound-driven biopsy in the diagnosis of peripheral lung lesions. Chest 2005;128(5):3551-3557.
8. Kurimoto N, Miyazawa T, Okimasa S, Maeda A, Oiwa H, Miyazu Y, Murayama M. Endobronchial ultrasonography using a guide sheath increases the ability to diagnose peripheral pulmonary lesions endoscopically. Chest 2004;126(3):959-965.
9. Yoshikawa M, Sukoh N, Yamazaki K, Kanazawa K, Fukumoto S, Harada M, et al. Diagnostic value of endobronchial ultrasonography with a guide sheath for peripheral pulmonary lesions without X-ray fluoroscopy. Chest 2007;131(6):1788-1793.
10. Yamada N, Yamazaki K, Kurimoto N, Asahina H, Kikuchi E, Shinagawa N, et al. Factors related to diagnostic yield of transbronchial biopsy using endobronchial ultrasonography with a guide sheath in small peripheral pulmonary lesions. Chest 2007;132(2):603-608.
11. Tapiovaara MJ. Efficiency of low-contrast detail detectability in fluoroscopic imaging. Medical physics 1997;24(5):655-664.
12. Steinfort DP, Irving LB. Patient satisfaction during endobronchial ultrasound-guided transbronchial needle aspiration performed under conscious sedation. Respir Care 2010;55(6):702-706.
13. Wall BF, Hart D. Revised radiation doses for typical X-ray examinations. Report on a recent review of doses to patients from medical X-ray examinations in the UK by NRPB. National Radiological Protection Board. Br J Radiol 1997;70(833):437-439.
14. Regulla DF, Eder H. Patient exposure in medical X-ray imaging in Europe. Radiat Prot Dosimetry 2005;114(1-3):11-25.
15. Diederich S, Lenzen H. Radiation exposure associated with imaging of the chest: comparison of different radiographic and computed tomography techniques. Cancer 2000;89(11 Suppl):2457-2460.
16. Brenner DJ. Radiation risks potentially associated with low-dose CT screening of adult smokers for lung cancer. Radiology 2004;231(2): 440-445.
17. Teeuwisse WM, Geleijns J, Broerse JJ, Obermann WR, van Persijn van Meerten EL. Patient and staff dose during CT guided biopsy, drainage and coagulation. Br J Radiol 2001;74(884):720-726.
18. Morrish OW, Goldstone KE. An investigation into patient and staff doses from X-ray angiography during coronary interventional procedures. Br J Radiol 2008;81(961):35-45.
19. Hurwitz LM, Reiman RE, Yoshizumi TT, Goodman PC, Toncheva G, Nguyen G, Lowry C. Radiation dose from contemporary cardiothoracic multidetector CT protocols with an anthropomorphic female phantom: implications for cancer induction. Radiology 2007:245(3): 742-750.
20. Kickuth R, Kirchner J, Laufer U, Sanner B, Haske M, Liermann D. Better visualization of transbronchial biopsy using CT fluoroscopy. Cardiovasc Intervent Radiol 2000;23(5):347-350.
21. Buls N, Pages J, Mana F, Osteaux M. Patient and staff exposure during endoscopic retrograde cholangiopancreatography. Br J Radiol 2002;75(893):435-443.
22. Perisinakis K, Damilakis J, Theocharopoulos N, Papadokostakis G, Hadjipavlou A, Gourtsoyiannis N. Patient exposure and associated radiation risks from fluoroscopically guided vertebroplasty or kyphoplasty. Radiology 2004;232(3):701-707.
23. Ector J, Dragusin O, Adriaenssens B, Huybrechts W, Willems R, Ector H, Heidbuchel H. Obesity is a major determinant of radiation dose in patients undergoing pulmonary vein isolation for atrial fibrillation. J Am Coll Cardiol 2007;50(3):234-242.
24. Tsalafoutas IA, Tsapaki V, Kaliakmanis A, Pneumaticos S, Tsoronis F, Koulentianos ED, Papachristou G. Estimation of radiation doses to patients and surgeons from various fluoroscopically guided orthopaedic surgeries. Radiat Prot Dosimetry 2008;128(1):112-119.
25. Kurban LA, Gomersall L, Weir J, Wade P. Fluoroscopy-guided percutaneous lung biopsy: a valuable alternative to computed tomography. Acta Radiol 2008;49(8):876-882.
26. Ohno Y, Hatabu H, Takenaka D, Higashino T, Watanabe H, Ohbayashi C, Sugimura K. CT-guided transthoracic needle aspiration biopsy of small (_ 20 mm) solitary pulmonary nodules. AJR Am J Roentgenol 2003;180(6):1665-1669.
27. Hirose T, Mori K, Machida S, Tominaga K, Yokoi K, Adachi M. Computed tomographic fluoroscopy-guided transthoracic needle biopsy for diagnosis of pulmonary nodules. Jpn J Clin Oncol 2000; 30(6):259-262.
28. Archer BR, Wagner LK. Protecting patients by training physicians in fluoroscopic radiation management. J Appl Clin Med Phys 2000; 1(1):32-37.
29. Advisory PH. Avoidance of serious x-ray-induced skin injuries to patients during fluoroscopically-guided procedures. Rockville, MD: Food and Drug Administration; 1994.
30. Thompson DE, Mabuchi K, Ron E, Soda M, Tokunaga M, Ochikubo S, et al. Cancer incidence in atomic bomb survivors. Part II: Solid tumors, 1958-1987. Radiat Res 1994;137(2 Suppl):S17-S67.
31. Preston DL, Kusumi S, Tomonaga M, Izumi S, Ron E, Kuramoto A, et al. Cancer incidence in atomic bomb survivors. Part III. Leukemia, lymphoma and multiple myeloma, 1950-1987. Radiat Res 1994;137(2 Suppl):S68-S97.
32. Barish RJ. In-flight radiation exposure during pregnancy. Obstet Gynecol 2004;103(6):1326-1330.
33. Shuryak I, Hahnfeldt P, Hlatky L, Sachs RK, Brenner DJ. A new view of radiation-induced cancer: integrating short-and long-term processes. Part II: second cancer risk estimation. Radiat Environ Biophys 2009;48(3):275-286.
34. Brooks AL. Developing a scientific basis for radiation risk estimates: goal of the DOE Low Dose Research Program. Health Phys 2003; 85(1):85-93.
35. Anoopkumar-Dukie S, McMahon A, Allshire A, Conere TJ. Further evidence for biological effects resulting from ionizing radiation doses in the diagnostic X-ray range. Br J Radiol 2005;78(928):335-337.
36. Sokolov M, Panyutin IG, Neumann R. Genome-wide gene expression changes in normal human fibroblasts in response to low-LET gamma-radiation and high-LET-like 125IUdR exposures. Radiat Prot Dosimetry 2006;122(1-4):195-201.
37. Christodoulou EG, Goodsitt MM, Larson SC, Darner KL, Satti J, Chan HP. Evaluation of the transmitted exposure through lead equivalent aprons used in a radiology department, including the contribution from backscatter. Med Phys 2003;30(6):1033-1038.
38. Kim KP, Miller DL, Balter S, Kleinerman RA, Linet MS, Kwon D, Simon SL. Occupational radiation doses to operators performing cardiac catheterization procedures. Health Phys 2008;94(3):211-227.
39. Lange HW, von Boetticher H. Randomized comparison of operator radiation exposure during coronary angiography and intervention by radial or femoral approach. Catheter Cardiovasc Interv 2006;67(1): 12-16.
40. Delichas M, Psarrakos K, Molyvda-Athanassopoulou E, Giannoglou G, Sioundas A, Hatziioannou K, Papanastassiou E. Radiation exposure to cardiologists performing interventional cardiology procedures. Eur J Radiol 2003;48(3):268-273.
41. Ohno T, Nishimura T, Nakano K, Kaneko I. Differential recovery from potentially lethal damage in normal human lung fibroblasts after irradiation with 60Co gamma-rays and accelerated N-ion beam. Int J Radiat Biol Relat Stud Phys Chem Med 1984;45(1):21-26.
42. Nagasawa H, Little JB, Tsang NM, Saunders E, Tesmer J, Strniste GF. Effect of dose rate on the survival of irradiated human skin fibroblasts. Radiat Res 1992;132(3):375-379.
43. Langner I, Blettner M, Gundestrup M, Storm H, Aspholm R, Auvinen A, et al. Cosmic radiation and cancer mortality among airline pilots: results from a European cohort study (ESCAPE). Radiat Environ Biophys 2004;42(4):247-256.
44. Cardis E, Gilbert ES, Carpenter L, Howe G, Kato I, Armstrong BK, et al. Effects of low doses and low dose rates of external ionizing radiation: cancer mortality among nuclear industry workers in three countries. Radiat Res 1995;142(2):117-132.
45. McGeoghegan D, Binks K, Gillies M, Jones S, Whaley S. The noncancer mortality experience of male workers at British Nuclear Fuels plc, 1946-2005. Int J Epidemiol 2008;37(3):506-518.
46. United Nations Scientific Committee on the Effects of Atomic Radiation. Sources and effects of ionizing radiation. UNSCEAR 2000 report to the General Assembly, with scientific annexes. Annex E. Occupational radiation exposures. (Available at www.unscear.org). New York: United Nations, 2000.
47. Vano E, Gonzalez L, Beneytez F, Moreno F. Lens injuries induced by occupational exposure in non-optimized interventional radiology laboratories. British J Radiol 1998;71(847):728-733.
48. Goodenough DJ. Lessons learned in radiology. In: Radiological protection of patients in diagnostic and interventional radiology, nuclear medicine and radiotherapy: proceedings of an international conference held in Malaga, Spain, 26-30 March 2001. Vienna: International Atomic Energy Agency; 2001:145-155.
49. Uradomo LT, Lustberg ME, Darwin PE. Effect of physician training on fluoroscopy time during ERCP. Dig Dis Sci 2006;51(5):909-914.
50. Jain P, Fleming P, Mehta AC. Radiation safety for health care workers in the bronchoscopy suite. Clin Chest Med 1999;20(1):33-38, ix-x.
51. The 2007 Recommendations of the International Commission on Radiological Protection. ICRP publication 103. Ann ICRP 2007; 37(2-4):1-332.